Tequisa Mcphatter
NPI #1194496075 in Greensboro, North Carolina
Provider Information
- NPI Number
- 1194496075
- Entity Type
- Individual
- Name
- Tequisa Mcphatter
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 21, 2021
- Last Updated
- Sep 21, 2021
Practice Location
- Address
- 1015 GLENDALE DR APT 21G
- City
- Greensboro
- State
- North Carolina
- ZIP Code
- 27406-6457
- Phone
- (336) 497-1007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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